title: Advanced testicular cancer in a society of racial and socio-economic health disparity.
abstract: This is the case of an African-American man who presented with a 6 month history of impressive unilateral testicular swelling and abdominal pain. After a thorough workup he was found to have metastatic testicular seminoma causing multiple complex sequelae. This case highlights the essential diagnostic and therapeutic features of a common malignancy seen primarily in young men. His advanced disease presentation, complex management of multiple comorbidities combined with his African-American race and lower socio-economic status (SES) highlight an unusual paradigm shift in testicular cancer epidemiology from the more typical high SES Caucasian to the lower SES, less educated male patient. Beyond the unexpected clinical presentation, this case then presents multiple avenues of discussion regarding the unfortunate effects of racial disparities on disease presentation and progression that are plaguing our healthcare system today.
authors.affiliation: Wayne State University School of Medicine, Detroit, Michigan, USA. mkaufman@med.wayne.edu
authors.forename: Michael
authors.initials: M
authors.lastname: Kaufman
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006304:Health Status; D006801:Humans; D008297:Male; D044469:Racial Groups; D012923:Social Class; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy